Public Health and Laboratory Organization

The clinical analysis laboratory
∙ Definition
∙ Mission
∙ Areas of activity
∙ Laboratory technician
The regulatory situation
∙ Institutional accreditation requirements
∙ Certification standards and ISO standards
∙ The construction of a Quality Management System
∙ Privacy Policy
∙ Regulations concerning professional liability
Organizational models: hospital companies, foundations
∙ POAS (Strategic Business Organizational Plan)
∙ Departments
∙ UOC (Complex Operating Units)
∙ OU (Operating Unit)
∙ UOS (Simple Operating Units)
∙ SMEL
∙ SIMT and DMTE
The organizational models
∙ Meaning and advantages of automation
∙ Laboratory information system
∙ Integration, consolidation, Core Lab and Hub and spoke models
∙ The Italian situation
∙ Analysis of different regional projects
The medicine laboratory service
∙ Internal processes: management of the pre-analytical, analytical and post-analytical phase
∙ The management of non-conformities
∙ Internal quality control and external quality assessment plans
∙ Turn-around time and activity indicators
∙ The role of Information Systems
∙ Diagnostic area software
The medicine laboratory service
∙ Laboratory guide
∙ Type of test tubes and various containers
∙ Sample collection mode
∙ Biological sample transport procedure
∙ Biological sample conservation procedure
∙ Waste disposal procedure
∙ Legislative Decree 81/2008 (Single Safety Text) and the Laboratory Safety Manual (ISPEL)
The medicine laboratory service
∙ Reagent management
∙ Calibrator management
∙ CQI Management (Internal Quality Checks)
∙ VEQ Management (External Quality Assessment)
∙ Instrument management
∙ Instrument maintenance
Laboratory Exams
∙ Practical examples of application of the regulations
∙ Evolution of the laboratory offer
∙ EBM and new technologies
∙ The appropriateness of the request
The Laboratory Medicine Service
∙ Process management
∙ Management of the Information System in the laboratory process
∙ Administrative management:
a) attendance management (shifts and hours of service)
b) salaries
c) assessments
d) warehouse management
∙ Training / Update: ECM (Continuous Education in Medicine)
∙ New Organizational Models
∙ Reorganization of Transfusion Centers
∙ Unification into macro-areas of activity
∙ 2015 Rules for the management of the regional social and health service (Lombardia)
∙ Technologic innovations

The concept of health
From health to illness
∙ Causal relationships
∙ Natural history of communicable and non-communicable diseases
Epidemiology: principles and methods
∙ The sources of health data
∙ Measures in epidemiology
∙ Epidemiological studies
Prevention and promotion of health: principles and methods
Principles of prevention of non-communicable diseases (Lifestyle, Screening)
Principles of prevention of communicable diseases (Vaccines and vaccinations)
The role of the public health laboratory
Principles of epidemiology and prevention of infectious diseases transmitted through fecal-oral route, airborne, parenteral/sexual route.

Introduction. The health sector and its specificities. Health and social-health expenditure. Healthcare policy and management implications. The National Health Service and its regionalization, governance, perspectives and scenarios.
. Recent regional reforms.
∙ The characteristics of public health companies, financing and governance mechanisms.
∙ The organization and management of the healthcare company: history, present and evolution. The main business functions: planning, programming and budgeting, performance assessment and management, clinical governance and operational management.
∙ The challenge of "professionalism": from the doctor-manager to the widespread engagement of the healthcare professional
∙ The hospital sector, the primary care sector and the social-health sector
∙ The challenge of chronicity: from the chronic care model to the population health management. New paradigms and operational solutions
∙ The relations between company, system and industry.